Organization Name: | NEK COUNSELING AND CONSULTATION |
NPI Number: | 1134506504 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL A BOWEN (COUNSELOR) |
Mailing Address: | 3212 Us Route 5 Derby |
State: | VT US |
Postal Code: | 058299677 |
Phone Number: | 8026734907 |
Fax Number: | 8027662275 |
NPI Enumeration Date: | 05/05/2015 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |